Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Rose Agatha Breen birth Cape Jack, Antigonish County on August 19, 1921
Female Birth Registration: Year: 1921 number: 66800440
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Registered No. 66800440
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Antigonish
City, Town or Village Cape Jack
2. FULL NAME OF CHILD Breen, Rose Agatha
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
August 19, 1921
FATHER
8. Full Name Frank Breen
9. Residence Cape Jack
10. Racial Origin French | 11. Age at last birthday 48
12. Birthplace cape Jack
13. Occupation: —
(a) Trade or profession farmer
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Margaret Decoste
15. Residence Cape Jack
16. Racial Origin French | 17. Age at last birthday 38
18. Birthplace Cape Jack
19. Number of children of this mother (including this child)
Living 5 Dead 4 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Alexander DeCoste Cape Jack
22. Name of Doctor, nurse or other person in attendance at birth
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 17 September 1921
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